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NPI Code Detail

MEDICARE: ROBILYN ANN COLLINS NP

MEDICARE:   ROBILYN ANN COLLINS  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704195404MI
2363L00000XNurse PractitionerSP011452PA
3363LF0000XFamily Nurse Practitioner0024169818VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212065284OTHERCAQH

General Provider Information

NPI Number : 1720066319
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBILYN ANN COLLINS NP
Provider Business Mailing Address
First Line : 38935 ANN ARBOR ROAD
Second Line : CREDENTIALING/PAYER CONTRACTING SERVICES
City : LIVONIA
State : MI
Zip : 48150-3397
Country : US
Telephone Number : 734-632-0175
Fax Number : 734-632-0182
Provider Business Practice Location Address
First Line : 15855 NINETEEN MILE ROAD
Second Line : EMERGENCY MEDICINE DEPARTMENT
City : CLINTON TWP
State : MI
Zip : 48038-3504
Country : US
Telephone Number : 586-263-2601
Fax Number : 586-263-2589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 10/09/2014

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